{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:35:06Z","timestamp":1791581706147,"version":"4.3.4"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2016,7,18]],"date-time":"2016-07-18T00:00:00Z","timestamp":1468800000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We have often found that patients with heart failure had shortness of breath when bending forward. The frequency of bendopnea in patients with decompensated heart failure (DHF), its repercussions on quality of life (QoL), and its prognosis have not yet been studied. This study was carried out to evaluate the characteristics, degree of limitation, and short-term prognosis of patients with bendopnea and DHF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We conducted a study of 250 patients admitted with DHF. Bendopnea was considered when shortness of breath occurred within 30\u2009s of bending forward. It was present in 122 patients (48.8%). The mean time of onset was 13.4\u2009\u00b1\u20096.9\u2009s. Patients with bendopnea presented a higher frequency of orthopnoea, paroxysmal nocturnal dyspnoea, oliguria, oedema, elevated jugular venous pressure, abdominal fullness, and worse functional class (P &amp;lt; 0.001). An enlargement of both atria was more frequent in these patients (P &amp;lt; 0.001). Pulmonary artery systolic pressure (PASP) was higher in the bendopnea group (P = 0.001). Body mass index and LVEF were not associated with presence of bendopnea. Subjective QoL limitation was present in 80.3% (36.1% mild, 44.2% moderate to severe limitation). Patients with bendopnea had a higher mortality rate (P = 0.025) and more advanced NYHA class (P &amp;lt; 0.001). Patients who died had a lower LVEF (P = 0.001), increased PASP (P = 0.08), and lower mean duration of shortness of breath than those who survived (P = 0.01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bendopnea is related to advanced HF symptoms and it is associated with mortality in the short term and advanced NYHA functional class. This symptom produces moderate to severe limitation of QoL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejhf.610","type":"journal-article","created":{"date-parts":[[2016,7,18]],"date-time":"2016-07-18T03:57:20Z","timestamp":1468814240000},"page":"111-115","source":"Crossref","is-referenced-by-count":48,"title":["Assessment of Bendopnea Impact on Decompensated Heart Failure"],"prefix":"10.1093","volume":"19","author":[{"given":"Ram\u00f3n","family":"Baeza-Trinidad","sequence":"first","affiliation":[{"name":"Internal Medicine Department, Hospital San Pedro , Logro\u00f1o ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Daniel","family":"Mosquera-Lozano","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Hospital San Pedro , Logro\u00f1o ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila","family":"El Bikri","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, Hospital San Pedro , Logro\u00f1o ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2016,7,18]]},"reference":[{"key":"2026011721172180000_ejhf610-bib-0001","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.jchf.2013.07.009","article-title":"Characterization of a novel symptom of advanced heart failure: bendopnea","volume":"2","author":"Thibodeau","year":"2014","journal-title":"JACC Heart Fail"},{"key":"2026011721172180000_ejhf610-bib-0002","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1016\/j.healun.2013.06.006","article-title":"\u2018Flexo-dyspnea\u2019: a novel clinical observation in the heart failure syndrome","volume":"32","author":"Brandon","year":"2013","journal-title":"J Heart Lung Transplant"},{"key":"2026011721172180000_ejhf610-bib-0003","volume-title":"Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels","author":"Criteria committee of the New York Heart Association","year":"1994","edition":"9th ed"},{"key":"2026011721172180000_ejhf610-bib-0004","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1093\/eurjhf\/hfp179","article-title":"Red blood cell distribution width and 1-year mortality in acute heart failure","volume":"12","author":"Van Kimmenade","year":"2010","journal-title":"Eur J Heart Fail"},{"key":"2026011721172180000_ejhf610-bib-0005","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/j.1527-5299.2007.06409.x","article-title":"The physical examination in heart failure Part I","volume":"13","author":"Leier","year":"2007","journal-title":"Congest Heart Fail"},{"key":"2026011721172180000_ejhf610-bib-0006","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1111\/j.1527-5299.2007.06491.x","article-title":"The physical examination in heart failure Part II","volume":"13","author":"Leier","year":"2007","journal-title":"Congest Heart Fail"},{"key":"2026011721172180000_ejhf610-bib-0007","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1016\/j.amjmed.2011.05.034","article-title":"Bedside assessment of cardiac hemodynamics: the impact of non-invasive testing and examiner experience","volume":"124","author":"From","year":"2011","journal-title":"Am J Med"},{"key":"2026011721172180000_ejhf610-bib-0008","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.cardfail.2012.04.012","article-title":"The worst symptom as defined by patients during heart failure hospitalization: implications for response to therapy","volume":"18","author":"Kato","year":"2012","journal-title":"J Card Fail"},{"key":"2026011721172180000_ejhf610-bib-0009","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jchf.2013.12.001","article-title":"Observation is never obsolete","volume":"2","author":"Nohria","year":"2014","journal-title":"JACC Heart Fail"},{"key":"2026011721172180000_ejhf610-bib-0010","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1161\/CIRCHEARTFAILURE.108.769778","article-title":"Value of clinician assessment of hemodynamics in advanced heart failure: the ESCAPE trial","volume":"1","author":"Drazner","year":"2008","journal-title":"Circ Heart Fail"},{"key":"2026011721172180000_ejhf610-bib-0011","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1016\/S0735-1097(03)00309-7","article-title":"Clinical assessment identifies hemodynamic profiles that predict outcomes in patients admitted with heart failure","volume":"41","author":"Nohria","year":"2003","journal-title":"J Am Coll Cardiol"},{"key":"2026011721172180000_ejhf610-bib-0012","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1136\/bmj.320.7229.236","article-title":"ABC of heart failure. 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